The quest for greater efficiency, fairness and responsiveness to the expectation of the people that system serve have brought about three generations of health system reforms in the twentieth century. The first generation saw the founding of national health care systems and extension to middle income nations of social insurance systems in the 1940s and 1950s. By the late 1960s the rising costs ...

In recent years, advances in computer architecture have slowed dramatically with most simulation results demonstrating only incremental architectural innovation. This is further exacerbated by increased processor and system complexity spurred by a seemingly unlimited number of transistors at computer architect’s disposal. Computer architects produce a myopic view of their systems through the le...

INTRODUCTION Barbed suture lifting is a minimally invasive surgical technique for facial rejuvenation. This study examined the efficacy and associated risks with this procedure, using a new synthetic, monofilament suspension thread named "Happy Lift™ Revitalizing" (Promoitalia International S.r.l, Naples, Italy). METHODS All the patients had average aging signs and required a lifting of modes...

This open access book provides an evidence-based roadmap for revitalising Indian agriculture while ensuring that the growth process is efficient, inclusive, and sustainable, results in sustained of farmers’ incomes. The book, instead looking global best practices evaluating them to assess possibility replicating these domestically, looks inward at experiences within states, answer questions suc...

Essential health, education and other service disruptions arising from the COVID-19 pandemic risk reversing some of hard-won gains in improving child survival over past 40 years. Although children have milder symptoms disease than adults, control measures many countries disrupted services for children, often leaving them without access to birth postnatal care, vaccinations early childhood preve...

The pandemic resulting from COVID-19 disease has brought about an unprecedented crisis to tourism destinations, in almost complete shutdown of tourist flows. Whereas disaster recovery models focus on prevention and preparedness, the post-pandemic strategies are underexplored, particularly relation highly representative group small-scale businesses run by lifestyle entrepreneurs (TLEs). An integ...

Allentown, Pa.; Bayonne, N.J.; Flint, Mich.; Newark, and Jackson, Miss., are a few of the communities that have had serious water issues involving an underfunded utility in need critical intervention. That intervention came, it arrived variety forms. In Allentown public–public arrangement with independent authority, Lehigh County Authority, turned things around. Bayonne public–private partnersh...

There has been a growing recognition over the past 25 years that it is increasingly difficult for physicians to develop careers as physician-scientists. This commentary reviews the traditional culture of academic medicine, factors that are altering that culture, and several grassroots suggestions for revitalizing academic medicine in our departmental programs. It is based on a presentation, "Ba...